HomeMy WebLinkAbout101104809 - PermitProiect Address: 1223 W Camile Sta
Assessor's Parcel. 010-1 1 1 -09 Lot: 23
Unit.Bldg. Address Range:Suite Range.
Zoning: R1Block: NA Tract: 1406 Historic: No
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Building
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection. (714)647-5853
Permit #: {O11O48O9
Pin #: 7O2Oa
Building Use:
Job Type:
Nature of Work:
Existing Bldg & Use:
Proposed Use:
Single Family Dwelling
Solar
Solar
SFD w/att Garage
R-3, U
VB
cBc 2019
x-0602320257J
1st FL Area:
2nd FL Area:
Other Areas.
Garage Area.
Total:
Patio:
T.l.Area:
Yards Req'd.
Valuation: $18,645.00
Occupancy:
Constr Type
Code:
Flood Zone'.
# of Stories:
0
Description of Work: lnstallation of roof mounted PV system. Worksheet attached to plans.
Planning Conditions:
1..
Owner:
Address:
Phone:
Tenant:
JUANITA SERNA
1223 W CAMILE ST
Santa Ana, CA 927034506
(7141 6174746
Contractor: Vivint Solar - lrvine
Address. 2500 White Rd #A
lrvine, CA 92614
Phone: (951) 496-2292
State Lic #: 973756
Lic Type: B, C-10, C-39, C46
Bus. Lic #: 345470
Workers' Compensation I nsurance.
Carrier: America n Zurich
Policy #: WC509601305
Expires: 1 110112020
Engineer
Address:
Phone:
License #:
Architect /
Designer:
Address.
Phone.
License #.
Vivint Solar Developer
Eric Curtis
9847 Pioneer Blvd.
Santa Fe Springs, CA 90670
(562) 942-1270
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd: No
PWA lnsp. Req'd: No
Planning lnsp. Req'd. No
Landscaping lnsp. Req'd: No
Chavez, Dave
Date.
Date:
Date: 10/01 12020
Subject to Field.
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
07776002 57607 Permit Fee
07776002 57770 Microfilm Records
07776002 s7672 Bldg. Stds. Revolving
07776002 57600 General Plan Update
Fee Total:
Paid to Date:
Balance Due:
$4s0.00
$97.20
$1 00
$0.00
Fire lnsp. Req'd.
Police lnsp. Req'd
No
No Account#Total
Flood Zone Cert. Req'd. No
Every permitissued shall become invalid unless the work on the site authorized by
such permit is commenced within 360 days afterits issuance,or if the work authorized
on the site by such permit is suspe nded or abandoned for a period of 360 days after
the time the work is commenced.
Inspector MID#: 2020-1 61866
01 1 16002 51601
01116002 51612
01116002 57770
$450 00
$1 00
$97 20
$s48 20
$0 00
$s48.20
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/S!G.COMMENTS OWNER BUTLDER DELCARATION
I hcrcby allirm undcr Fnalty of pcrjury lhat I am cxcmpt ftom lhc Cotrlractos' Liccns Lrw for thc lollowinS rcovrn (Scc.70.ll.5
Ilusincss an1 Prolbssi([ Codc): Any City or County shich ]equircs a lrcrmit kr conslruct. altcr, improvc. demtlish or'rcpair any
structurc, prilr to ils issuaree, also rcqutcs thc applicant Ior such lrc(mit to tilc a signcd statemnt thal hc or shc Ls liccosd pusant
to rhc ln)visions of thc Contractor's l-icctrsd llw (Chrptcr 9, Commcncing with Scction 7(X)O ot Division .] ol thc Busiress od
PrclcssiuN Codc) or rhar hc or shc is cxcmpt thqcfrom and the basis li]r thc alhgcd crcmlilk)n. Any vi(]lation of Scction ?0.11.5 by any
applicarl lirr a lrcrmil $uhjccts thc aPplicant to a civil pcnalty of not morc than tivc hundred dollars ($500).
-.1,
as owncr ol'thc propcrty, or my cmployccs with wagcs as thcir solc compcnsation, will do thc work atd thc structurc is not
urtc-mlcd or ollercd lrlr salc (Scc.7044, Busincss anrl Prol'cssions Ctxlc: Thc Contractor's [-icense [-aw tlocs not apply to an owncr of
thc pnrJnrty wlxr builds or improves thcrcrrn, arxJ wtxr drrcs such wrlrk himsclf or hcrsclf or through his or hcr own cmpkryccs.
providcrl that such improvcnrcnts arc mlt intcndcd or oll'crcd tirr salc. Il. howcvcr, thc huikling or improvctncnt is sokl within onc ycar
ol'complction, lhc Owncr Buildcr will havc the burdcn ol'prcving that hc or shc did not build or improvc thc proJrcrty ltrr thc puryxrsc of
salc).
_1. as owner ol'thc pr)pcrty, am cxclusivcly contracting with liccnscd contractors lo construct the projcct (Scc. 7044, Busincss
and l'totbssion Codc: 'fhc Conlraclor's Liccnsc Law docs not apply to an owner of proJrcrty who builds or improvcs lhcrcon.
and who contracls lilr such projccts with a Contractrlr(s) liccnscd pursuanl to thc Ctuttractor's Liccnsc Law).
-IamcxcmptundcrScctiott-'B.&P.C.lilrthisrcason.
WORKERS' CO[\I PENSATION
DECLARATION
I hcrcby alf irm untlcr Jrcnalty of pcrjury onc of the tirllowing dcclaratiruts:
_l havc arxl will maintain a Ccrtilicatc of Consclrt to Sclt'-lnsure lirr wrlrkcrs' comJrcnsation, as providcd tbr by Scction .]700 of thc
Lahrr Crx.lc, for thc pcrlirrmancc of thc work for which thc pcrmit ls issucd.
*#iir:Scction 1700 of thc Labor Codc, firr thc pcrlilrmancc of
carricr and grlicy numbcr are:
illrlzoPolicyUI\
$9f "cniry
rfrat in thc lrcrformmr of thc work for which this Frmit is issucd, I shall not cmploy any;rrson in any manrcr
$ as k) hccom subjcct to thc qxkcrs' comJEnsalion laws ofcalitbruia, and agrc lhal if I slxrutl bqcom subi*t to thc
workss' comFnsati(rn provisions of Setion 37U) of thc Latnr Cqlc, I slBll, fonhwilh crmply with llxrs prrvisions.
WARNING: Failurc lo wre workcrs'comlEnsattrn Lrrvcmgc is unlawlul, and shall subjet an cmpk)ycr to siminal lrcEltics and
civil lincs up to onc hundrcd th<lusarrd dollars ($lm.Om), in atldition lo thc cosl ol'com;rcnsation, damagcs as providcd filr thc
attorrrcy's
ol ision lI hcrcby allum untlcr pcnalty of pcr.iury that I am liccnsctl undcr provisiott of Chaptcr 9 (commcncing with Scctirln 7fiX)) ot'
of thc Busincss and Prot'cssions Codc, and my liccnsc is in full lilrcc and cttcct.
C to 171 5b I
Liccnse Nunrbcr:
0 Vt
W
I hcrchy allfum undcr Fnalty of fErjury that thrc is I c$nstructbn hnding agcrey for the tErfotmrec of thc work for which this Ismit is
issuctl (Sec. 309?, Civ. C.).
hndcr's Namc:
[rndcr's Ad&css:
APPLICANT DECLARATION
I hcrcby atl-rm undcr pcnalty of Jrcrjury onc of thc ftrlkrwing dcclaratiorts:
Dcrnolition Permits-Asbcstos Notification Fcdcral Rcgulations (Titlc 40, Part6)
_Rcqu rrcd lrttcr ol' Notification
_l ccrtily that thc
Ntq.""ity that I havc
l'crlcral rcgulations rcgauding astrcstos rcnxlvalarc not applicahlc to this pnrjcct.
rcad this and stale that thc atxrvc itttirrmatiott
ordinanccs antl Statc l-aws rclating to
abovc nrcrrtioncd propcrly lirr
t.
Applicant or Agent
construcliott, atxl
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bf loor/VenVI nsu lation
Roof Sheathinq
Shear Wall
Framinq
lnsulation/Energy
Drvwall
Ext./lnt. Lath
Brown Coat
Masonrv
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Engineer Final Report
Flood Zone Certif .
,I
FINAL ul h,l 0/+vw
Certificate of Occupancy
Notes, Remarks, Etc.
Elarr nP.-n7-2n16
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